Sirona Orthophos XG 5 Operating Instructions Manual
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Sirona Orthophos XG 5 Operating Instructions Manual

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See also: Service Manual , Maintenance Manual
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This product is covered by one or
more of the following US patents:
• US8,152,373
• US6351519
• US6570953
• US6926442
• US7322746
• US6731717
• US6891921
• D502543
• D497994
• D503804
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Summary of Contents for Sirona Orthophos XG 5

  • Page 1 NOKOMNT kÉï=~ë=çÑW loqelmelp=ud=R=L=`ÉéÜ loqelmelp=ud=R=ap=L=`ÉéÜ léÉê~íáåÖ=fåëíêìÅíáçåë båÖäáëÜ=ErpF Operating Instructions This product is covered by one or more of the following US patents: • US8,152,373 • US6351519 • US6570953 • US6926442 • US7322746 • US6731717 • US6891921 • D502543 • D497994 • D503804...

  • Page 3: Table Of Contents

    Sirona Dental Systems GmbH Table of contents Operating Instructions ORTHOPHOS XG 5 / Ceph Table of contents General data......................Dear Customer, .................... General information about this operating manual ........Contact information ..................Other valid documents ................. Warranty and liability ..................
  • Page 4 Table of contents Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XG 5 / Ceph Main components of the product ..............3.3.1 Basic unit..................3.3.2 Cephalometer................... 3.3.3 Multipad.................... 3.3.4 Remote control................. Spare parts and consumables ..............3.4.1 Accessory parts................3.4.1.1 Bite blocks and contact segments........
  • Page 5 Sirona Dental Systems GmbH Table of contents Operating Instructions ORTHOPHOS XG 5 / Ceph 5.4.6 Positioning the patient ..............5.4.6.1 Positioning with chin rest and rod for bite block ....5.4.6.2 Positioning with chin rest and bar........5.4.6.3 Positioning with bite block ..........
  • Page 6 Table of contents Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XG 5 / Ceph 5.12 Canceling an exposure ................. 5.13 Reprogramming the kV/mA values ............... 5.14 Activating the Info menu................5.15 Activating the service menu ................Maintenance......................Cleaning and care ..................

  • Page 7: General Data

    We are pleased that you have equipped your practice with the ORTHOPHOS XG X-ray system from Sirona. Sirona was one of the first inventors of film-based panoramic X-ray systems, and since 1996 has been a pioneer of digital X-ray technology.

  • Page 8: General Information About This Operating Manual

    1 General data Sirona Dental Systems GmbH 1.2 General information about this operating manual Operating Instructions ORTHOPHOS XG 5 / Ceph General information about this operating manual Observe the Operating Instructions Please familiarize yourself with the unit by reading through these Operating Instructions before putting it into operation. It is essential that you comply with the specified warning and safety information.

  • Page 9: Warranty And Liability

    In the event that the system owner fails to fulfill the obligation to perform scheduled inspections and preventive maintenance activities or ignores error messages, Sirona Dental Systems GmbH and its authorized dealers cannot assume any liability for damages. Certificate of work...

  • Page 10: Intended Use

    Operating Instructions ORTHOPHOS XG 5 / Ceph Intended use The ORTHOPHOS XG 5 / XG 5 DS / Ceph generates digital X-ray images of maxillofacial regions and subregions for dentistry. With the cephalometric arm projections of the skull are also possible and carpus views for orthodontics.

  • Page 11: Structure Of The Document

    Sirona Dental Systems GmbH 1 General data Operating Instructions ORTHOPHOS XG 5 / Ceph Structure of the document 1.9.1 Identification of the danger levels To prevent personal injury and material damage, please observe the warning and safety information provided in these operating instructions.

  • Page 12: Safety Information

    2 Safety information Sirona Dental Systems GmbH 2.1 Information on the unit Operating Instructions ORTHOPHOS XG 5 / Ceph Safety information Information on the unit The following symbols are applied to the unit: Accompanying documents This symbol can be found next to the rating plate on the unit.

  • Page 13: Qualifications Of Operating Personnel

    The valid radiation protection regulations and measures must be observed. The statutory radiation protection equipment must be used. In order to reduce radiation exposure, Sirona recommends using bismuth or lead shields or aprons, especially for pediatric patients. During an exposure, the operator should move as far away from the X-ray tube assembly as the coiled cable of the release button permits.

  • Page 14: Laser Light Localizer

    2 Safety information Sirona Dental Systems GmbH 2.8 Laser light localizer Operating Instructions ORTHOPHOS XG 5 / Ceph Laser light localizer The system incorporates Class 1 laser products. The light localizers are intended for correct patient positioning. They must not be used for any other purposes.

  • Page 15: Risks Of Electromagnetic Fields

    For reasons of product safety, this product may be operated only with original Sirona accessories or third-party accessories expressly approved by Sirona. The user is responsible for any damage resulting from the use of non-approved accessories. 2.15...

  • Page 16: Electromagnetic Compatibility

    The correctness of the radiation parameters and the repeatability of the dose values in particular may be affected. Only operate units approved by Sirona at a distance of < 30 cm from the X-ray unit. The Sirona intraoral sensors are approved for this.

  • Page 17: Operating Instructions Orthophos Xg 5 / Ceph

    Sirona Dental Systems GmbH 2 Safety information Operating Instructions ORTHOPHOS XG 5 / Ceph Endangered regions are indicated on the unit by the ESD warning label: We recommend that all persons working with this system are made aware of the significance of the ESD warning label. A training course should also be held to inform users about the physics of electrostatic charges.

  • Page 18: Unit Description

    Operating Instructions ORTHOPHOS XG 5 / Ceph Unit description Certification and registration The ORTHOPHOS XG 5 / XG 5 DS / Ceph X-ray unit complies with IEC 60601-1:2005 + A1:2012 The ORTHOPHOS XG 5 / XG 5 DS / Ceph X-ray unit complies with...

  • Page 19: Technical Data

    Sirona Dental Systems GmbH 3 Unit description Operating Instructions ORTHOPHOS XG 5 / Ceph Technical data Unit data Model designation: ORTHOPHOS XG 5 / XG 5 DS / Ceph Nominal voltage: 200 – 240 V Permissible fluctuation: ± 10% Permissible drop under load: 10%...

  • Page 20: Operating Instructions Orthophos Xg 5 / Ceph

    3 Unit description Sirona Dental Systems GmbH 3.2 Technical data Operating Instructions ORTHOPHOS XG 5 / Ceph Marking of focal spot: Source-skin distance > 200 mm (8“) Automatic exposure The duration of automatic exposure blocking: blocking (cooling period) depends on the set kV/mA level and the actual exposure time.

  • Page 21: Operating Instructions Orthophos Xg 5 / Ceph

    Sirona Dental Systems GmbH 3 Unit description Operating Instructions ORTHOPHOS XG 5 / Ceph PAN Sensor Digital CCD line sensor, repluggable for panoramic exposure technique Active sensor area, Pan type: 138 mm x 6.48 mm Detail resolution: 0.027 mm pixel size...

  • Page 22: Operating Instructions Orthophos Xg 5 / Ceph

    3 Unit description Sirona Dental Systems GmbH 3.2 Technical data Operating Instructions ORTHOPHOS XG 5 / Ceph Cooling curve for tube housing Cooling curve of X-ray tube Heating curve of tube housing Central X-ray beam and anode angle 60 04 811 D3352...

  • Page 23: Operating Instructions Orthophos Xg 5 / Ceph

    Sirona Dental Systems GmbH 3 Unit description Operating Instructions ORTHOPHOS XG 5 / Ceph Minimum PC system requirements for SIDEXIS Processor: DualCore 1.6 GHz 2 GB Free hard disk 5 GB for SIDEXIS installation and database storage: Removable CD/DVD writer medium:...

  • Page 24: Main Components Of The Product

    3 Unit description Sirona Dental Systems GmbH 3.3 Main components of the product Operating Instructions ORTHOPHOS XG 5 / Ceph Main components of the product 3.3.1 Basic unit CEPH 14.1 64 8 1260 Prog. 14,2 s 14,2 s 64kV ORTHOPHOS ist aufnahmebereit...

  • Page 25: Cephalometer

    Sirona Dental Systems GmbH 3 Unit description Operating Instructions ORTHOPHOS XG 5 / Ceph Touch bar for swiveling the control mirror in and out Release button 3.3.2 Cephalometer Projection scale Scale for vertical nose support adjustment Nose support Locking knob for nose support...

  • Page 26: Multipad

    3 Unit description Sirona Dental Systems GmbH 3.3 Main components of the product Operating Instructions ORTHOPHOS XG 5 / Ceph 3.3.3 Multipad In addition to the program numbers, help messages, kV/mA combinations and the expected and actual radiation time, the height adjustment setting, forehead support position, info texts and values as well as the help and error messages are also shown on the digital display.

  • Page 27: Operating Instructions Orthophos Xg 5 / Ceph

    Sirona Dental Systems GmbH 3 Unit description Operating Instructions ORTHOPHOS XG 5 / Ceph "R" key for unit return with Ready LED (flashes if the unit is not ready for an exposure). "T" key for test cycle without radiation with LED display "Close temple supports"...

  • Page 28: Remote Control

    3 Unit description Sirona Dental Systems GmbH 3.3 Main components of the product Operating Instructions ORTHOPHOS XG 5 / Ceph 3.3.4 Remote control Radiation indicator "Unit ON" LED display Display field Exposure release button "R" key for return of unit Exposure release button with coiled cable 60 04 811 D3352 D3352.201.04.25.23 12.2017...

  • Page 29: Spare Parts And Consumables

    Sirona Dental Systems GmbH 3 Unit description Operating Instructions ORTHOPHOS XG 5 / Ceph Spare parts and consumables 3.4.1 Accessory parts 3.4.1.1 Bite blocks and contact segments The drawer between the handles is provided for the storage of accessory parts and hygienic protective sleeves.

  • Page 30: Temple Supports, Forehead Support, And

    3 Unit description Sirona Dental Systems GmbH 3.4 Spare parts and consumables Operating Instructions ORTHOPHOS XG 5 / Ceph Temple supports, forehead support, and temporomandibular joint 3.4.1.2 supports Forehead support and temple supports (1 piece) REF 59 80 383 Contact pads for forehead and temple supports (1 set)

  • Page 31: Hygienic Protective Sleeves

    Sirona Dental Systems GmbH 3 Unit description Operating Instructions ORTHOPHOS XG 5 / Ceph 3.4.2 Hygienic protective sleeves Identification of single use devices Prior to each exposure, the hygienic protective sleeves (single use devices) must be fitted. Single use devices are identified with the symbol shown on the left. They must be disposed of immediately after use.

  • Page 32: Protective Sleeves For Cephalometer

    3 Unit description Sirona Dental Systems GmbH 3.4 Spare parts and consumables Operating Instructions ORTHOPHOS XG 5 / Ceph For bite blocks and contact segments (500 pcs) Order No. 33 14 080 Protective film for handles Order No.: 59 68 255 3.4.2.2...

  • Page 33: Installation And Start-Up

    Sirona Dental Systems GmbH 4 Installation and start-up Operating Instructions ORTHOPHOS XG 5 / Ceph Installation and start-up Please also see the chapter titled: “Cleaning and care“ Replacing accessories on the basic unit 4.1.1 Replacing the bite block, contact segment, or chin rest You will need to replace accessory parts according to the patient or exposure program.

  • Page 34: Changing The Temple Supports And Temporomandibular Joint Supports

    4 Installation and start-up Sirona Dental Systems GmbH 4.1 Replacing accessories on the basic unit Operating Instructions ORTHOPHOS XG 5 / Ceph 4.1.2 Changing the temple supports and temporomandibular joint supports IMPORTANT Temple and temporomandibular joint supports The temple supports and the arrangement of the temporomandibular supports vary according to the date of unit manufacture.

  • Page 35: Adjusting/Inserting Accessory Parts On The Cephalometer

    Sirona Dental Systems GmbH 4 Installation and start-up Operating Instructions ORTHOPHOS XG 5 / Ceph Adjusting/inserting accessory parts on the cephalometer Adjusting the holder for ear plugs 1. Grasp the ear plug holders at the very top with both hands. 2. Simultaneously pull the holders apart or push them together.

  • Page 36: Moving The Sensor

    4 Installation and start-up Sirona Dental Systems GmbH 4.3 Moving the sensor Operating Instructions ORTHOPHOS XG 5 / Ceph Moving the sensor If the device is operated using a single sensor, the sensor has to be moved to the socket on the panoramic rotating unit or the socket on the cephalometer, depending on the type of exposure being taken.

  • Page 37: Operating Instructions Orthophos Xg 5 / Ceph

    Sirona Dental Systems GmbH 4 Installation and start-up Operating Instructions ORTHOPHOS XG 5 / Ceph Inserting the sensor 1. Hold the sensor firmly. 2. Using both guide pins, insert the sensor into the guide sleeves on the unit and push until it reaches a stop.

  • Page 38: Operation

    5 Operation Sirona Dental Systems GmbH 5.1 Switching the unit on Operating Instructions ORTHOPHOS XG 5 / Ceph Operation Switching the unit on CAUTION Malfunctions can occur when the unit is switched on. A patient positioned in the unit may be injured by moving parts.

  • Page 39: Readings On The Digital Display

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph Readings on the digital display After power-on of the system, running dots initially appear on the digital display for a brief time....

  • Page 40: Panoramic And Bite Wing Exposure

    5 Operation Sirona Dental Systems GmbH 5.4 Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph Panoramic and bite wing exposure 5.4.1 Program descriptions 5.4.1.1 P1 – Panoramic exposure The exposure displays the full tooth region with ascending rami.

  • Page 41: P1 A - Panoramic Exposure, Artifact-Reduced

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph P1 A – Panoramic exposure, artifact-reduced 5.4.1.4 The exposure can be taken in an artifact-reduced format to avoid artifacts in the condylar and molar regions, and to reduce shadowing by the opposite jaw.

  • Page 42: P10 - Panoramic Exposure For Children

    5 Operation Sirona Dental Systems GmbH 5.4 Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph P10 – Panoramic exposure for children 5.4.1.6 The exposure represents a reduced tooth region without ascending rami. For this exposure the radiation dose is considerably reduced.

  • Page 43: Bw1 - Bitewing Exposure In The Posterior Tooth Region

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph BW1 – Bitewing exposure in the posterior tooth region 5.4.1.8 The exposure displays the posterior tooth regions with an image height restricted to the bite wing. 60 04 811 D3352...

  • Page 44: Preparing The Exposure

    5 Operation Sirona Dental Systems GmbH 5.4 Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph 5.4.2 Preparing the exposure Depending on the patient or the exposure program, you may have to replace accessory parts and, if necessary, reconnect the sensor, see "Installation and start-up"...

  • Page 45: Setting The Kv/Ma Values

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 5.4.5 Setting the kV/mA values Setting the kV/mA values via the patient symbols Preset kV/mA combinations are assigned to the patient symbols, which are selected according to the patient's size and weight. The symbols roughly correspond to child, youth/woman, woman/man, hefty persons.

  • Page 46: Positioning The Patient

    5 Operation Sirona Dental Systems GmbH 5.4 Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph 5.4.6 Positioning the patient The patient is positioned on the unit while standing. Positioning in the seat is also possible without issue. CAUTION The height adjustment motor starts slowly and then increases its speed.

  • Page 47: Positioning With Chin Rest And Rod For Bite Block

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph Positioning with chin rest and rod for bite block 5.4.6.1 ✔ The chin rest and bite block segment, as well forehead support and temple supports are inserted in the unit.

  • Page 48: Operating Instructions Orthophos Xg 5 / Ceph

    5 Operation Sirona Dental Systems GmbH 5.4 Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph 6. Check the patient's occlusal plane C. Adjust the unit height using the up A and down B keys. The occlusal plane is slightly inclined toward the front.

  • Page 49: Operating Instructions Orthophos Xg 5 / Ceph

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 14. Press the forehead support adjustment key H and the temple support adjustment key I. The forehead and temple supports stop moving automatically when they come into contact with the patient's head.

  • Page 50: Positioning With Chin Rest And Bar

    5 Operation Sirona Dental Systems GmbH 5.4 Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph Positioning with chin rest and bar 5.4.6.2 ✔ The patient has no or only a few anterior teeth. ✔ The chin support and bar, and the forehead support and temple supports are inserted in the unit.

  • Page 51: Temporomandibular Joint Exposure

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph Temporomandibular joint exposure 5.5.1 TM1.1 / TM1.2 – Lateral view of temporomandibular joints with mouth open and closed This exposure displays the temporomandibular joints from a lateral aspect with the mouth open and closed and provides 4 views in one image.

  • Page 52: Preparing The Exposure

    5 Operation Sirona Dental Systems GmbH 5.5 Temporomandibular joint exposure Operating Instructions ORTHOPHOS XG 5 / Ceph 5.5.2 Preparing the exposure Depending on the patient or the exposure program, you may have to replace accessory parts and, if necessary, reconnect the sensor, see "Installation and start-up"...

  • Page 53: Setting The Kv/Ma Values

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 5.5.4 Setting the kV/mA values Setting the kV/mA values via the patient symbols Preset kV/mA combinations are assigned to the patient symbols, which are selected according to the patient's size and weight. The symbols roughly correspond to child, youth/woman, woman/man, hefty persons.

  • Page 54: Positioning The Patient

    5 Operation Sirona Dental Systems GmbH 5.5 Temporomandibular joint exposure Operating Instructions ORTHOPHOS XG 5 / Ceph 5.5.5 Positioning the patient The patient is positioned on the unit while standing. Positioning in the seat is also possible without issue. CAUTION The height adjustment motor starts slowly and then increases its speed.

  • Page 55: Operating Instructions Orthophos Xg 5 / Ceph

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 2. Set the unit height using the up (A) and down (B) keys. CAUTION! The height adjustment motor starts slowly and then increases its speed. Press and hold down the height adjustment key until the unit has reached the desired height.

  • Page 56: Operating Instructions Orthophos Xg 5 / Ceph

    5 Operation Sirona Dental Systems GmbH 5.5 Temporomandibular joint exposure Operating Instructions ORTHOPHOS XG 5 / Ceph 8. Align the patient's head according to the Frankfurt horizontal plane (E). 9. Adjust the height of the light localizer using the slider (F). The laser line reflects on the upper edge of the outer ear canal.

  • Page 57: Sinus View

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph Sinus view 5.6.1 S1 – Paranasal sinuses This exposure shows the paranasal sinuses e.g. for the diagnosis of orbital floor fractures. 5.6.2 Preparing the exposure Depending on the patient or the exposure program, you may have to replace accessory parts and, if necessary, reconnect the sensor, see "Installation and start-up"...

  • Page 58: Setting The Kv/Ma Values

    5 Operation Sirona Dental Systems GmbH 5.6 Sinus view Operating Instructions ORTHOPHOS XG 5 / Ceph 5.6.4 Setting the kV/mA values Setting the kV/mA values via the patient symbols Preset kV/mA combinations are assigned to the patient symbols, which are selected according to the patient's size and weight. The symbols roughly correspond to child, youth/woman, woman/man, hefty persons.

  • Page 59: Positioning The Patient

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 5.6.5 Positioning the patient The patient is positioned on the unit while standing. Positioning in the seat is also possible without issue. CAUTION The height adjustment motor starts slowly and then increases its speed.

  • Page 60: D3352

    5 Operation Sirona Dental Systems GmbH 5.6 Sinus view Operating Instructions ORTHOPHOS XG 5 / Ceph 2. Set the unit height using the up (A) and down (B) keys. CAUTION! The height adjustment motor starts slowly and then increases its speed. Press and hold down the button until the desired height is reached.

  • Page 61: Transversal Multi-Slice Posterior Teeth

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph Transversal multi-slice posterior teeth 5.7.1 MS1 – Program description This exposure shows the posterior tooth region as a multislice with 6 views in one image. IMPORTANT Note that, due to the large slice thickness, program MS1 is not suitable for implantology planning.

  • Page 62: Setting The Kv/Ma Values

    5 Operation Sirona Dental Systems GmbH 5.7 Transversal multi-slice posterior teeth Operating Instructions ORTHOPHOS XG 5 / Ceph 5.7.4 Setting the kV/mA values Setting the kV/mA values via the patient symbols Preset kV/mA combinations are assigned to the patient symbols, which are selected according to the patient's size and weight. The symbols roughly correspond to child, youth/woman, woman/man, hefty persons.

  • Page 63: Positioning The Patient

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 5.7.5 Positioning the patient The patient is positioned on the unit while standing. Positioning in the seat is also possible without issue. CAUTION The height adjustment motor starts slowly and then increases its speed.

  • Page 64: Positioning With Bite Block

    5 Operation Sirona Dental Systems GmbH 5.7 Transversal multi-slice posterior teeth Operating Instructions ORTHOPHOS XG 5 / Ceph Positioning with bite block 5.7.5.1 ✔ The yellow bite block, the forehead support and temple supports are inserted in the unit. ✔ The relevant hygienic protective sleeves are pulled over the accessories.

  • Page 65: Positioning With Contact Segment

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 6. Press the forehead support adjustment key (D) and the temple support key (E). The forehead and temple supports stop moving automatically when they come into contact with the patient's head.

  • Page 66: Cephalometric Exposures

    5 Operation Sirona Dental Systems GmbH 5.8 Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph Cephalometric exposures 5.8.1 Program description L/R markings can be turned on/off in SIDEXIS. Note the different direction of viewing in the human medicine and/or dental radiology.

  • Page 67: C3 - Lateral Exposure

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph C3 – Lateral exposure 5.8.1.3 With this exposure technique, a metal scale integrated in the nose support is displayed on the X-ray exposure. Using this scale, the magnification factor in the median plane can be determined precisely via a measurement.

  • Page 68: C4 - Carpus View, Symmetrical

    5 Operation Sirona Dental Systems GmbH 5.8 Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph C4 – Carpus view, symmetrical 5.8.1.4 The program displays a carpus view. The carpus view is used to determine the growth stage of the body or the jaw.

  • Page 69: Preparing The Exposure

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 5.8.2 Preparing the exposure NOTICE The adjustment of the cephalometer may alter depending on the load. A change in the adjustment may lead to faulty X-rays. ➢ Never lean against the cephalometer or the extension arm.

  • Page 70: Selecting An Exposure Program

    5 Operation Sirona Dental Systems GmbH 5.8 Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph Turn the ear plug holders Note that the holder for the ear plugs must be rotated by 90 degrees for p.a. symmetrical exposures and carpus exposures.

  • Page 71: Setting The Kv/Ma Values

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 5.8.4 Setting the kV/mA values Setting the kV/mA values via the patient symbols Preset kV/mA combinations are assigned to the patient symbols, which are selected according to the patient's size and weight. The symbols roughly correspond to child, youth/woman, woman/man, hefty persons.

  • Page 72: Positioning The Patient

    5 Operation Sirona Dental Systems GmbH 5.8 Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph 5.8.5 Positioning the patient The patient is positioned on the unit while standing. Positioning in the seat is also possible without issue. This is the case, for example, if the patient is shorter than approx. 93 cm or taller than 197 cm.

  • Page 73: Positioning For Symmetrical Exposures C1, C2

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph Positioning for symmetrical exposures C1, C2 5.8.5.1 ✔ Push the ear plug holders apart. ✔ The nose support is swiveled upwards. ✔ The ear plug holders are rotated at an angle of 90° towards the sensor and the secondary diaphragm.

  • Page 74: Positioning For C3 Lateral Exposures

    5 Operation Sirona Dental Systems GmbH 5.8 Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph Positioning for C3 lateral exposures 5.8.5.2 ✔ The nose support is swiveled upwards. ✔ Push the ear plug holders apart. ✔ The ear plug holders are in a line with the sensor and the secondary diaphragm.
  • Page 75 Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 7. Optional: Swivel the nose support downward and adjust it in a vertical and horizontal direction, see "Setting/inserting the cephalometer accessories" [ → 35]. The nose support rests on the root of the nose.

  • Page 76: Positioning For Carpal Exposures C4

    5 Operation Sirona Dental Systems GmbH 5.8 Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph Positioning for carpal exposures C4 5.8.5.3 NOTICE The patient may press too forcefully against the carpus support plate. This can damage the carpus support plate. ➢ Instruct the patient to only press lightly on the carpus support plate.

  • Page 77: Starting The Test Cycle

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph Starting the test cycle The test cycle is executed without radiation. The test cycle is used to check that the unit is functioning correctly and to ensure that a complete, uninterrupted cycle is possible.
  • Page 78 5 Operation Sirona Dental Systems GmbH 5.10 Releasing the exposure Operating Instructions ORTHOPHOS XG 5 / Ceph CAUTION Prematurely letting go of the release button cancels the exposure immediately. The exposure must be repeated. ➢ Take care not to let go of the exposure release button prematurely.
  • Page 79 Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph IMPORTANT The patient's arms must hang down freely at his/her sides, He/she should not tense or hunch his/her shoulders. Advise the patient not to move his/her head in any way during the exposure and check to make sure that this does not happen.
  • Page 80 5 Operation Sirona Dental Systems GmbH 5.10 Releasing the exposure Operating Instructions ORTHOPHOS XG 5 / Ceph With the two-part exposure program TM 1 two exposures (TM 1.1 and TM 1.2) are prepared. TM1.2 12.8 71 8 ✔ The first temporomandibular joint exposure has been released as Prog.

  • Page 81: Using The Remote Control

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 5.11 Using the remote control On the remote control, exposures are triggered using the release button (D). If it is not possible to maintain visual contact with the patient when releasing the exposure, the release key with the coiled cable (F) on the X-ray unit can be removed and used on the remote control.

  • Page 82: Canceling An Exposure

    5 Operation Sirona Dental Systems GmbH 5.12 Canceling an exposure Operating Instructions ORTHOPHOS XG 5 / Ceph 5.12 Canceling an exposure An exposure that has been triggered can be canceled again at any time. CAUTION Pressing the R key moves the unit to the starting position.

  • Page 83: Reprogramming The Kv/Ma Values

    Sirona Dental Systems GmbH 5 Operation Operating Instructions ORTHOPHOS XG 5 / Ceph 5.13 Reprogramming the kV/mA values The factory-programmed kV/mA combinations for each preselected exposure program and for each individual patient symbol key can be overwritten (reprogrammed). IMPORTANT If no entry is made for a period of time exceeding 5 seconds during the programming procedure, the programming mode is automatically terminated without saving any of the changes previously entered.

  • Page 84: Activating The Info Menu

    5 Operation Sirona Dental Systems GmbH 5.14 Activating the Info menu Operating Instructions ORTHOPHOS XG 5 / Ceph 5.14 Activating the Info menu The Info menu lists device data that are useful for any discussions with your service engineer. 1. Press and hold the Memory key (A) for at least 2 seconds.

  • Page 85: Maintenance

    Sirona Dental Systems GmbH 6 Maintenance Operating Instructions ORTHOPHOS XG 5 / Ceph Maintenance Cleaning and care 6.1.1 Cleaning Remove dirt, grime and disinfectant residue regularly using mild, commercially available cleaning agents. NOTICE Cleaning the ventilation slots When cleaning or disinfecting, liquids may enter the unit or the release button via the ventilation slots.
  • Page 86 6 Maintenance Sirona Dental Systems GmbH 6.1 Cleaning and care Operating Instructions ORTHOPHOS XG 5 / Ceph If you do not have access to the Internet, you can order the list in one of the following two ways: ● Order from your local dental depot ●...

  • Page 87: Sterilization

    Sirona Dental Systems GmbH 6 Maintenance Operating Instructions ORTHOPHOS XG 5 / Ceph 6.1.3 Sterilization WARNING Infections can be transmitted from patient to patient. Accessories that are not sterilized correctly can cause illness in patients. ➢ All accessories that are suitable for sterilization should only be sterilized in an autoclave at 132 °C (270 °F), with at least 4 minutes...

  • Page 88: Inspection And Maintenance

    6 Maintenance Sirona Dental Systems GmbH 6.2 Inspection and maintenance Operating Instructions ORTHOPHOS XG 5 / Ceph Inspection and maintenance Inspection and preventive maintenance must be performed at scheduled intervals to protect the health and safety of patients, users, and other persons.

  • Page 89: Malfunctions

    Sirona Dental Systems GmbH 7 Malfunctions Operating Instructions ORTHOPHOS XG 5 / Ceph Malfunctions Help messages When working with the unit, auxiliary messages are displayed for certain actions (e.g. press H301 for the return key), which call for the user to perform a specific action.

  • Page 90: Error Message Structure

    7 Malfunctions Sirona Dental Systems GmbH 7.2 Error message structure Operating Instructions ORTHOPHOS XG 5 / Ceph H403 – Switch SIDEXIS to ready for exposure state SIDEXIS is not ready for exposure. ➢ Switch SIDEXIS to a ready-for-exposure state; see the SIDEXIS user manual.

  • Page 91: Error Description

    Sirona Dental Systems GmbH 7 Malfunctions Operating Instructions ORTHOPHOS XG 5 / Ceph Error description 7.3.1 Ex – Error type NOTICE The unit must not be switched on/off constantly. Constant switching on and off reduces the service life of individual unit components and results in increased power consumption.

  • Page 92: Yy - Locality

    7 Malfunctions Sirona Dental Systems GmbH 7.3 Error description Operating Instructions ORTHOPHOS XG 5 / Ceph E6 – Self-check The error occurs spontaneously and without a corresponding operation. 1. Acknowledge the error message. The error no longer occurs. 2. If the error remains, switch the unit off and on again. NOTICE! Observe waiting period! The error no longer occurs.

  • Page 93: Program Values

    Sirona Dental Systems GmbH 8 Program values Operating Instructions ORTHOPHOS XG 5 / Ceph Program values Panoramic exposure Index 4A Index 4A, which specifies a reduced level series for children and adolescents, must be complied with as a minimum requirement in all new installations and systems moved from one location to another in the Federal Republic of Germany since January 1, 1999.
  • Page 94 8 Program values Sirona Dental Systems GmbH 8.1 Panoramic exposure Operating Instructions ORTHOPHOS XG 5 / Ceph Index 2A This level series guarantees that the applicable legal regulations which must be complied with since January 1, 1999 are strictly observed. Furthermore, this level series can also be applied worldwide. National regulations must be complied with.
  • Page 95 Sirona Dental Systems GmbH 8 Program values Operating Instructions ORTHOPHOS XG 5 / Ceph Index 1A As of 01/01/1999, this level series is no longer admissible in the Federal Republic of Germany. The exposure times indicated represent the corresponding maximum. Slight deviations in time may result from the selection of temple width.

  • Page 96: Cephalometric Exposures

    8 Program values Sirona Dental Systems GmbH 8.2 Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph Cephalometric exposures The radiation time ranges from 9.1s to max. 14.9s. Level series for cephalometric exposures Program Max. Factory setting User-defined values exposure – Please enter here –...

  • Page 97: Dose Information

    Sirona Dental Systems GmbH 8 Program values Operating Instructions ORTHOPHOS XG 5 / Ceph Dose information The dose area product for the parameter combinations proposed by Hersteller/Distributor has been calculated already. The DAP value can be used without any further calculations.
  • Page 98 8 Program values Sirona Dental Systems GmbH 8.3 Dose information Operating Instructions ORTHOPHOS XG 5 / Ceph Dose level series index 2A (8 mA series) Specification of the dose area product (DAP/absorbed dose) for panoramic views, temporomandibular joint (TMJ) views and sinus views...
  • Page 99 Sirona Dental Systems GmbH 8 Program values Operating Instructions ORTHOPHOS XG 5 / Ceph Dose level series index 1A (16 mA series) Specification of the dose area product (DAP/absorbed dose) for panoramic views, temporomandibular joint (TMJ) views and sinus views Program...

  • Page 100: Dose Area Product Parameters For Ceph-Images

    8 Program values Sirona Dental Systems GmbH 8.3 Dose information Operating Instructions ORTHOPHOS XG 5 / Ceph 8.3.2 Dose area product parameters for Ceph-images The ceph exposure values were measured with a semiconductor detector, as very low dose values are hard to measure in a CT ionization chamber.

  • Page 101: Calculate Dosage

    Calculation: The values indicated below have been calculated for the parameter combinations proposed by Sirona. If other settings are used, with the help of kV/DAP lists, proceed as follows: 1. Select the set kV level from the table of the respective X-ray system and note down the DAP factor.
  • Page 102 8 Program values Sirona Dental Systems GmbH 8.3 Dose information Operating Instructions ORTHOPHOS XG 5 / Ceph 2D-images DAP factor DAP factor DAP factor DAP factor Programs program Program program P1/P12/ C1-C4 TM/S/MS1 (mGy x cm /mAs) (mGy x cm /mAs) (mGy x cm...

  • Page 103: Dismantling And Disposal

    Sirona Dental Systems GmbH 9 Dismantling and disposal Operating Instructions ORTHOPHOS XG 5 / Ceph Dismantling and disposal Dismantling and reinstallation When dismantling and reassembling the unit, proceed according to the installation instructions for new installation in order to guarantee its functioning and stability.
  • Page 104 9 Dismantling and disposal Sirona Dental Systems GmbH 9.2 Disposal Operating Instructions ORTHOPHOS XG 5 / Ceph Your nonpermanently installed unit will be collected in the practice and your permanently installed unit will be picked up curbside at your address by appointment.
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